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Opening (30 s)
"Endometrial Cancer — give a one-line definition and the single most important immediate risk."
Model: Endometrial cancer is the most common gynaecological malignancy in developed countries and the sixth most common cancer in women. Around 90 per cent present with postmenopausal bleeding, which is cancer until proven otherwise. Two pathogenetic types exist: Type I (endometrioid, 80 per cent) is oestrogen-driven, arising through unopposed oestrogen stimulation, endometrial hyperplasia with atypia an
Station 1 — Pathophysiology (2 min)
Explain the mechanism chain from cause to clinical features and one major complication.
Station 2 — Clinical diagnosis (2 min)
Classic presentation, atypical groups, named bedside signs, and what you examine for red flags.
Red flag cue: Any postmenopausal bleeding is endometrial cancer until proven otherwise — urgent transvaginal ultrasound and endometrial biopsy
Station 3 — Investigations (2 min)
First-line tests, definitive tests, and any named score with exact components.
Station 4 — Emergency management (3 min)
ABC priorities, first drugs with dose and route, procedures, and when to escalate to ICU/theatre.
Station 5 — Definitive / long-term care (2 min)
Stepwise definitive therapy, monitoring, complications of treatment, follow-up.
Station 6 — Special populations (2 min)
Child / pregnancy / elderly / immunocompromised / renal impairment — what changes.
Station 7 — Evidence & pitfalls (2 min)
Landmark trial or guideline name if standard; three classic exam traps.
Station 8 — Rapid-fire pearls (1 min)
Five high-yield facts a candidate must not forget under time pressure.
Examiner pass criteria
- Speaks in mechanisms and numbers, not vague lists
- Gives at least one exact dose or threshold
- Names escalation criteria
- Avoids dangerous delays (imaging when unstable, etc.)